AIDS Care Group

AIDS Care Group was paid $1.63M by Medicaid between Mar 2018 and Nov 2024, across 18 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 83% of everything it billed.

33Billing provider infoAIDS CARE GROUP
CHESTER, PA 19013

33aNPI1477592400assigned 06/05/2006

33bProvider typeClinic/Center

28Total paid$1.63M

24GClaims12,546

24DCodes billed18

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#60 of 176

Median peer was paid$441K

This provider vs. median3.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	32	$0.00
2019	125	$34K
2020	860	$112K
2021	2,599	$345K
2022	2,669	$370K
2023	3,341	$436K
2024incomplete	2,920	$331K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	83%	5,021	4,971	$1.36M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	9.9%	3,245	3,165	$162K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	2,023	1,882	$79K
80305		<1%	1,152	1,023	$11K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	556	526	$7K
99340		<1%	16	16	$4K
99499		<1%	150	129	$3K
90677		<1%	12	12	$2K
90686		<1%	113	112	$909.83
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	14	14	$889.35
90630		<1%	40	40	$833.19
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	28	$750.00

6 more codes

99401		<1%	64	$723.64
99203	Doctor's office visit, new patient (routine)	<1%	12	$695.52
90674		<1%	30	$353.00
99406		<1%	17	$150.30
86592		<1%	14	$58.80
36415	Collection of venous blood by venipuncture	<1%	38	$27.72

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSTRAUSS, HOWELL (EXECUTIVE DIRECTOR)